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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Hi Lisa, and welcome to forum. Can you tell us a bit more about your Mom and about you? Does your Mom live with you, or you with her? How old is your Mom? What conditions does your Mom have that may contribute to her current actions? Is she well physically, but mentally has severe diagnosed dementia? Is your Mom exhibiting behavior that is different from how she "has always been?" You do indicate that she was this way even "when well". But you also say there is a problem with combativeness. It sounds as though Mom may now need 24/7 care and placement lest you sacrifice your entire life to her remaining years. I look forward to having you answer a few questions for us that might help us to answer YOU, but from what little you tell us I think you are looking at need for placement. There is no arguing or curing dementia, no reasoning with it. I am wishing you the best.
If your Mom has severe dementia, there is not much she can do. She can no longer remember how to do things she previously did or the ability to learn new things. If by combative you mean if you try to change her or u give a sponge bath she fights you, they get like this. They don't want to be touched.
In the last two weeks before Mom passed, she started humming to the point she was upsetting other residents because she got louder every day. Then she closed her eyes not to open them again. But she was responsive. Then it was she would not get out of bed. Not being able to swallow was the next thing. She was in transition. Hospice was called in and she passed 6 days later.
Maybe its time to have Mom evaluated for Hospice and some meds to keep her calm.
Your mom needs Skilled Nursing care, it sounds like, if she's bedbound with severe dementia. She also needs medication to help her with the agitation and combative behavior you say she's displaying. Call her doctor for meds and as far as "finding care" goes, that depends if you have to apply for Medicaid for long term care in a SNF, or if she has funds to self pay, or you want in home help? Without giving lots more details, it's impossible to answer your question properly.
Dimetia cause a loss . Of Ability. To communicate. I watched a movie about a woman's decline with Alzheimer's and she refused to transfer would sit. On her butt without moving. Turns. Out she had pain. Caused her to refuse movement. She was not able to tell anyone she was in. Paim. much like infant . U have to see doc for. or explain.
Not entirely sure of your situation and this is not a fun or easy journey.
Not sure if you are caring for her at her home, your home or what all is involved at this point? But as others have said if she has "severe dementia," she needs to be in a skilled nursing home facility which has memory care where they have staff who are trained to handle the care in a safe way.
Trying to urge, insist or cajole dementia patients in the severe or end stages of the disease (if that indeed is where your mom is on this trajectory) to engage in activities or get out of bed is really NOT possible. Dementia causes the brain to not function properly, with more and more decline in all abilities. Some folks just assume that dementia causes memory loss; but all brain functions are lost over time. Remembering how to do an activity can be lost along with loss of interest.
It is virtually impossible to handle this care at home and certainly not solo 24/7. I tried for several years solo, caring for my mom in my house and lost my mind and my life and she was mid stage. She has been at a great nursing home for 2 years now and that is will she will remain. It is sad, but it had to be.
In terms of finding a facility, first I hope you have the paperwork in place. Do you have a durable financial POA, a medical POA and an Advanced Directive? Hope so. If your mom has a dementia diagnosis it may be hard now to execute this paperwork and seeking to become her legal guardian may be the only option. Hope you also have established access to all her accounts on-line so that as part of any application processes for a nursing home and likely Medicaid coverage, you can handle all the paperwork (there is a lot).
You might find it helpful to seek the advice and help of an elder care attorney licensed in your State, and one familiar with your State's Medicaid rules for long term nursing care. Each State's Medicaid program is slightly different. Most elder care lawyers who help folks get qualified for Medicaid long term nursing home coverage also know the best facilities and may have advice about how to get a bed at those facilities. Often going in private pay first as a sweetener, is helpful.
Your area agency on aging can also be helpful with advice about facilities to check out. And do go visit them. You will want a Medicare and Medicaid qualified facility (as w/both BOTH your State Medicaid and the USG through Medicare regulate such facilities and thereby the facility is required to many more things than those facilities not so qualified.)
Most states have lists of quality facilities and various publications -- such as US News and other pubs -- rank them, Medicare ranks them as well. You'll want to check out all the ratings and rankings: staff to resident ratios, quality measures, the percentage of residents and staff fully vaccinated for COVID, reports of problems; and pick the best ones and go see them.
Getting a bed can take time and again, going in as private pay for a half year or so can help! The monthly rate where we live on the east coast in an urban area is about $14-$15K a month; if your mom has the funds to pay for 6 months out of pocket or longer; facilities like that. Some non-profit religious-run facilities that are also Medicaid and Medicare qualified, "like a donation." NOT THAT they will say that out loud; but it is part of "sweetening the deal" to get your LO into a good facility (something like $25K).
She may be finding it difficult to do things. Personality changes are also common. They may be partly from frustration at not being able to understand and do things. Try to find people who know how to handle clients with dementia and all of its stages. A memory care facility may be best. All the best to you and your mother.
Please consider making an appointment for yourself with a Geriatric Psychiatrist and make a plan to bring Mom to the second appointment; he/she can write prescriptions that may help.
An occupational therapist may have some great activities. Call A Place for Mom or the Care Advisor here (on the right) and ask about an appropriate placement that offers an activities director.
Is your Mother living with you? If so it would help to take her to a day facility with experts who can engage your Mother. My Mother doesn’t have dementia but they have a memory care facility and all the caregivers in their wing are trained to deal with memory care residents. They engage them in many ways to include outings, art therapy etc.
The most important part is to identify the underlying cause for the behavior. Sometimes they are just hungry, or thirsty, or in pain but don’t know how to communicate it due to their dementia. other causes can be fatigue, frustration, general physical discomfort from arthritis, physical needs, such as needing to use the restroom.
Recently there has been a lot of study on music therapies for dementia: Select music that’s familiar and enjoyable to your loved one. If possible, let them pick the music. Play music from a source that doesn't have commercials; the interruption of an ad can lead to confusion. Choose music that aligns with a desired mood. For example, soothing music can establish a calm environment, while a faster-paced song from a loved one’s youth may boost their spirit and remind them of happy memories. Encourage your loved one to dance, clap, or sing along. Don’t use music as a background filler during meal time, and eliminate competing noises by shutting windows and turning off the television. Too much noise can be overwhelming or distracting.
You can also ask for a personal caregiver to come to your home and assist you with taking care of her. For more information and resources on dementia care and senior care in general you can visit: https://www.brightstarcare.com/lake-forest-irvine
My mom tried this behavior on me this year, I am her 24hr caregiver. finally I told her I could no longer care for her, and she would have to go to a nursing home(the peepee place) My mother also suffers from dementia too, and refuses to go down and eat( she lives in an independent living community), Needless to she fell going to the bathroom I had to call 911 to transport her to the hospital. She went to skilled nursing for to months.(skilled nursing is shit ). Sometimes our parents need to be in the worst place, too appreciate you and your willing to care for them. Though love! My mother is being released December 1, so if she goes back to her old ways, I have told her already she will go into a nursing home. Good luck parents can be difficult
Im sorry this sounds harsh, I have been dealing with type of behavior from my mother for over 20yrs ( MY mother is a spoiled brat and when she dont get her way she acts up) I hope your mom is kinder than mine.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Does your Mom live with you, or you with her?
How old is your Mom?
What conditions does your Mom have that may contribute to her current actions? Is she well physically, but mentally has severe diagnosed dementia?
Is your Mom exhibiting behavior that is different from how she "has always been?" You do indicate that she was this way even "when well". But you also say there is a problem with combativeness.
It sounds as though Mom may now need 24/7 care and placement lest you sacrifice your entire life to her remaining years. I look forward to having you answer a few questions for us that might help us to answer YOU, but from what little you tell us I think you are looking at need for placement. There is no arguing or curing dementia, no reasoning with it. I am wishing you the best.
In the last two weeks before Mom passed, she started humming to the point she was upsetting other residents because she got louder every day. Then she closed her eyes not to open them again. But she was responsive. Then it was she would not get out of bed. Not being able to swallow was the next thing. She was in transition. Hospice was called in and she passed 6 days later.
Maybe its time to have Mom evaluated for Hospice and some meds to keep her calm.
Doc prescribed pain. Med . Woman. Would transfr
Not sure if you are caring for her at her home, your home or what all is involved at this point? But as others have said if she has "severe dementia," she needs to be in a skilled nursing home facility which has memory care where they have staff who are trained to handle the care in a safe way.
Trying to urge, insist or cajole dementia patients in the severe or end stages of the disease (if that indeed is where your mom is on this trajectory) to engage in activities or get out of bed is really NOT possible. Dementia causes the brain to not function properly, with more and more decline in all abilities. Some folks just assume that dementia causes memory loss; but all brain functions are lost over time. Remembering how to do an activity can be lost along with loss of interest.
It is virtually impossible to handle this care at home and certainly not solo 24/7. I tried for several years solo, caring for my mom in my house and lost my mind and my life and she was mid stage. She has been at a great nursing home for 2 years now and that is will she will remain. It is sad, but it had to be.
In terms of finding a facility, first I hope you have the paperwork in place. Do you have a durable financial POA, a medical POA and an Advanced Directive? Hope so. If your mom has a dementia diagnosis it may be hard now to execute this paperwork and seeking to become her legal guardian may be the only option. Hope you also have established access to all her accounts on-line so that as part of any application processes for a nursing home and likely Medicaid coverage, you can handle all the paperwork (there is a lot).
You might find it helpful to seek the advice and help of an elder care attorney licensed in your State, and one familiar with your State's Medicaid rules for long term nursing care. Each State's Medicaid program is slightly different. Most elder care lawyers who help folks get qualified for Medicaid long term nursing home coverage also know the best facilities and may have advice about how to get a bed at those facilities. Often going in private pay first as a sweetener, is helpful.
Your area agency on aging can also be helpful with advice about facilities to check out. And do go visit them. You will want a Medicare and Medicaid qualified facility (as w/both BOTH your State Medicaid and the USG through Medicare regulate such facilities and thereby the facility is required to many more things than those facilities not so qualified.)
Most states have lists of quality facilities and various publications -- such as US News and other pubs -- rank them, Medicare ranks them as well. You'll want to check out all the ratings and rankings: staff to resident ratios, quality measures, the percentage of residents and staff fully vaccinated for COVID, reports of problems; and pick the best ones and go see them.
Getting a bed can take time and again, going in as private pay for a half year or so can help! The monthly rate where we live on the east coast in an urban area is about $14-$15K a month; if your mom has the funds to pay for 6 months out of pocket or longer; facilities like that. Some non-profit religious-run facilities that are also Medicaid and Medicare qualified, "like a donation." NOT THAT they will say that out loud; but it is part of "sweetening the deal" to get your LO into a good facility (something like $25K).
Here are some sources to check out facilities
https://data.cms.gov/covid-19/covid-19-nursing-home-data
For my state, but bet yours has similar site: https://healthcarequality.mhcc.maryland.gov/
https://www.medicare.gov/care-compare/results?searchType=NursingHome&page=1&city=New%20York&state=NY&zipcode=&radius=25&sort=closest&tealiumEventAction=Result%20Page%20-%20Search&tealiumSearchLocation=search%20bar
https://health.usnews.com/best-nursing-homes
https://www.newsweek.com/rankings/americas-best-nursing-homes-2023
An occupational therapist may have some great activities. Call A Place for Mom or the Care Advisor here (on the right) and ask about an appropriate placement that offers an activities director.
Recently there has been a lot of study on music therapies for dementia:
Select music that’s familiar and enjoyable to your loved one. If possible, let them pick the music. Play music from a source that doesn't have commercials; the interruption of an ad can lead to confusion. Choose music that aligns with a desired mood. For example, soothing music can establish a calm environment, while a faster-paced song from a loved one’s youth may boost their spirit and remind them of happy memories. Encourage your loved one to dance, clap, or sing along. Don’t use music as a background filler during meal time, and eliminate competing noises by shutting windows and turning off the television. Too much noise can be overwhelming or distracting.
You can also ask for a personal caregiver to come to your home and assist you with taking care of her. For more information and resources on dementia care and senior care in general you can visit:
https://www.brightstarcare.com/lake-forest-irvine
finally I told her I could no longer care for her, and she would have to go to a nursing home(the peepee place)
My mother also suffers from dementia too, and refuses to go down and eat( she lives in an independent living community), Needless to she fell going to the bathroom I had to call 911 to transport her to the hospital.
She went to skilled nursing for to months.(skilled nursing is shit ).
Sometimes our parents need to be in the worst place, too appreciate you and your willing to care for them. Though love!
My mother is being released December 1, so if she goes back to her old ways, I have told her already she will go into a nursing home.
Good luck parents can be difficult
Im sorry this sounds harsh, I have been dealing with type of behavior from my mother for over 20yrs ( MY mother is a spoiled brat and when she dont get her way she acts up)
I hope your mom is kinder than mine.